scholarly journals Geospatial Relationships between Awareness and Utilization of Community Exercise Resources and Physical Activity Levels in Older Adults

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Christopher J. Dondzila ◽  
Ann M. Swartz ◽  
Kevin G. Keenan ◽  
Amy E. Harley ◽  
Razia Azen ◽  
...  

Introduction. It is unclear if community-based fitness resources (CBFR) translate to heightened activity levels within neighboring areas. The purpose of this study was to determine whether awareness and utilization of fitness resources and physical activity differed depending on residential distance from CBFR.Methods. Four hundred and seventeen older adults (72.9±7.7years) were randomly recruited from three spatial tiers (≤1.6, >1.6 to ≤3.2, and >3.2 to 8.0 km) surrounding seven senior centers, which housed CBFR. Participants completed questionnaires on health history, CBFR, and physical activity, gathering data on CBFR awareness, utilization, and barriers, overall levels, and predictors to engagement in moderate to vigorous physical activity (MVPA).Results. Across spatial tiers, there were no differences in positive awareness rates of CBFR or CBFR utilization. Engagement in MVPA differed across spatial tiersP<0.001, with the >3.2 to 8.0 km radius having the highest mean energy expenditure. Across all sites, age and income levelP<0.05were significant predictors of low and high amounts of MVPA, respectively, and current health status and lack of interest represented barriers to CBFR utilizationP<0.05.Conclusion. Closer proximity to CBFR did not impact awareness or utilization rates and had an inverse relationship with physical activity.

Author(s):  
Catalina Medina ◽  
Martin Romero-Martinez ◽  
Sergio Bautista-Arredondo ◽  
Simón Barquera ◽  
Ian Janssen

Open streets programs are free and multisectoral programs in which streets are temporally closed allowing access to walkers, runners, rollerbladers, and cyclists. The Move on Bikes program (by its name in Spanish Muévete en Bici) (MEB) consists of 55 km of interconnected streets in middle-high income areas of Mexico City. There is scarce evidence on the evaluation of this program in Mexico. The purposes of this study were to estimate the participation, physical activity levels among the MEB participants, and the association of the frequency of participation with sociodemographic, physical, and program characteristics. Methods: From October 2017 to July 2018, six hundred seventy-nine MEB participants were surveyed using a questionnaire that contains sociodemographic, physical, and program characteristics. A wide-angle video camera was used to estimate the average speed of each activity per event per participant. Based on the information collected by the program authorities and survey interviews, we estimated the number of participants per event. Results: On a typical MEB program day, 21,812 people participated. MEB program users accumulated an average of 221 min of moderate-to-vigorous physical activity (MVPA) per typical Sunday and 88.4% accumulated at least 150 min of MVPA. In total, 29.6% of users attended the program every Sunday. Those who were more likely to attend the program frequently included: men, those aged 41 to 64 years old, users classified as very and sufficiently active, those that used active transportation to travel to the program, and participants that came alone. Conclusions: This study provides evidence that the MEB program adds an extra 71 min/week of MVPA to more than 20,000 users.


2018 ◽  
Vol 15 (11) ◽  
pp. 811-818 ◽  
Author(s):  
Carla Elane Silva dos Santos ◽  
Sofia Wolker Manta ◽  
Guilherme Pereira Maximiano ◽  
Susana Cararo Confortin ◽  
Tânia Rosane Bertoldo Benedetti ◽  
...  

Background: To examine the level of physical activity and sedentary behavior (SB), measured with accelerometers, in older adults from a city in southern Brazil according to sociodemographic and health characteristics.Methods: The sample consisted of 425 older adults (≥63 y) from the EpiFloripa Aging Study. Light physical activity (LPA), moderate to vigorous physical activity (MVPA), and SB were measured with accelerometers over a period of 7 days.Results: The older adults spent two-thirds of the time of use in SB, one-third in LPA, and only 2.1% (95% confidence interval, 1.8–2.2) in MVPA. In the final adjusted model, lower levels of MVPA were observed for women, as well as higher SB and lower LPA and MVPA for those with higher age. There were also trends toward prolonged SB and lower LPA when participants had a higher educational level and toward lower MVPA with higher body mass index.Conclusions: Constant monitoring of physical activity levels and SB using objective measures is recommended and interventions should be directed at the groups most exposed to excessive SB and low levels of MVPA.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S167-S168
Author(s):  
Kenneth Madden ◽  
Jocelyn Chase

Abstract Sedentary behavior (such as sitting) has been shown to be an independent risk factor for increased frailty and less successive aging, even in active individuals. Our study examined the clinical factors most associated with higher sedentary times (ST) in very active older adults. We recruited 54 adults from a Master’s ski team (Whistler, British Columbia; mean age 71.5±0.6 years, 55% female). Activity levels were measured using an accelerometer (SenseWear) worn continuously for 7 days. ST was defined as a lack of activity when not in the supine position, in order to exclude time spent sleeping. Potential predictor variables consisted of metabolic syndrome criteria (blood pressure, high density lipoprotein, waist circumference, triglyceride levels, fasting blood glucose), age, biological sex and heart rate. Predictors associated with ST (p&lt;0.10) were entered into a stepwise multivariate regression model. Our subjects were extremely active, engaging in moderate to vigorous physical activity for 2.6±0.2 hours per day, greatly exceeding current activity guidelines. Despite these high activity levels, they were also sedentary for an average of 9.4±0.2 hours per day. Our final minimum effective model showed that waist circumference had a significant association with ST (Standardized β = 0.36±0.13, p=0.007), explaining 18% of the variation in ST. People are often subjectively unaware of how long they spend sedentary. Our study suggests, that in addition to promoting leisure time physical activity, physicians should also objectively measure ST in highly active older patients with high waist circumferences.


2002 ◽  
Vol 10 (3) ◽  
pp. 281-289 ◽  
Author(s):  
Phil Hamdorf ◽  
Gary Starr ◽  
Mark Williams

Participation in physical activity declines with advancing age for a variety of reasons. The aim of this study was to assess the level of physical activity among older South Australians. Computer-aided telephone interviewing of 773 adults age 60 years and over was conducted using random-digit dialing. Rates of participation among adults age 60 years and over in walking and vigorous physical activity (68.1% and 11.7%, respectively) were significantly lower than for those age 18–59 years (77.6% and 38.9%, respectively). Walking was the most popular activity among those age 60 and over. The proportion reporting no physical activity rose from 7.0% in the 60- to 64-year age group to 25.7% in the 85+ group. The findings describe increases in physical inactivity coupled with declines in functional ability with advancing age and suggest that much work remains to fully understand how best to encourage older adults to remain physically active.


BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Aina M. Galmes-Panades ◽  
◽  
Jadwiga Konieczna ◽  
Veronica Varela-Mato ◽  
Itziar Abete ◽  
...  

Abstract Background The optimal distribution between physical activity (PA) levels and sedentary behaviour (SB) for the greatest benefits for body composition among older adults with overweight/obesity and chronic health conditions remains unclear. We aimed to determine the prospective association between changes in PA and in SB with concurrent changes in body composition and to examine whether reallocating inactive time into different physical activity levels was associated with 12-month change to body composition in older adults. Methods Longitudinal assessment nested in the PREDIMED-Plus trial. A subsample (n = 1564) of men and women (age 55–75 years) with overweight/obesity and metabolic syndrome from both arms of the PREDIMED-Plus trial was included in the present analysis. Participants were followed up at 6 and 12 months. Physical activity and SB were assessed using validated questionnaires. Out of 1564 participants, 388 wore an accelerometer to objectively measure inactive time and PA over a 7-day period. At each time point, participants’ body composition was measured using dual-energy X-ray absorptiometry (DXA). Standard covariate-adjusted and isotemporal substitution modelling were applied to linear mixed-effects models. Results Increasing 30 min of total PA and moderate-to-vigorous physical activity (MVPA) was associated with significant reductions in body fat (β − 0.07% and − 0.08%) and visceral adipose tissue (VAT) (− 13.9 g, and − 15.6 g) at 12 months (all p values < 0.001). Reallocating 30 min of inactive time to MVPA was associated with reductions in body fat and VAT and with an increase in muscle mass and muscle-to-fat mass ratio (all p values < 0.001). Conclusions At 12 months, increasing total PA and MVPA and reducing total SB and TV-viewing SB were associated with improved body composition in participants with overweight or obesity, and metabolic syndrome. This was also observed when substituting 30 min of inactive time with total PA, LPA and MVPA, with the greatest benefits observed with MVPA. Trial registration International Standard Randomized Controlled Trial (ISRCTN), 89898870. Retrospectively registered on 24 July 2014


2013 ◽  
Vol 21 (2) ◽  
pp. 155-166 ◽  
Author(s):  
Adrienne J. McNamara ◽  
Michael J. Pavol ◽  
Katherine B. Gunter

Objective:Community-based exercise programs are popular for achieving physical activity among older adults, but the amount of physical activity obtained through such programs is unknown. This study quantified the bone-loading forces and levels of cardiovascular activity associated with participation in “Better Bones and Balance” (BBB), a community-based fall- and fracture-prevention program for older adults.Methods:Thirty-six postmenopausal women age 73.2 ± 7.6 yr engages in BBB participated in this study. Ground-reaction forces (GRFs) associated with BBB exercises were evaluated using a force platform. Session and weekly totals of minutes of moderate to vigorous physical activity (MVPA) and total time spent above 55% maximum heart rate (HR) were measured using accelerometers and HR monitors, respectively.Results:BBB exercises produced mean 1-leg GRFs of 1.4–2.2 units body weight. Weekly BBB participation was associated with 126 ± 31 min of MVPA.Conclusion:Activity obtained by BBB participation meets recommended guidelines for skeletal and cardiovascular health.


2020 ◽  
pp. 135910532090987 ◽  
Author(s):  
Laura J McGowan ◽  
Rachael Powell ◽  
David P French

Older adults are the most sedentary age group, with sedentary behaviour having negative health-related consequences. There is currently limited understanding of how older adults view sedentary behaviour. This study investigated older adults’ understanding of the concept of sedentary behaviour. Semi-structured interviews were conducted with 22 community-dwelling older adults in urban North-West England, selected to be diverse in socio-economic background and activity levels. Interviews were recorded and transcribed verbatim. An inductive thematic analysis was conducted. Participants often construed sedentary behaviour as synonymous with a lack of physical activity, and many perceived reducing sedentary behaviour and increasing moderate-to-vigorous physical activity to be the same thing. Participants perceived the term ‘sedentary’ to have negative connotations and were often judgemental of people who engaged in high levels of sedentary behaviour. Most participants considered reducing sedentary behaviour to be of value, though more active individuals were unconvinced that reducing sedentary behaviour has value beyond the benefits of being physically active. Interventions may wish to provide education to address the misconception that increasing moderate-to-vigorous physical activity is necessary in order to reduce sedentary behaviour. Educating older adults on the independent health consequences of sedentary behaviour may also prove beneficial.


Author(s):  
Marguerita Saadeh ◽  
Amaia Calderón-Larrañaga ◽  
Davide Liborio Vetrano ◽  
Philip von Rosen ◽  
Laura Fratiglioni ◽  
...  

Abstract Background One’s physical function and physical activity levels can predispose or protect from the development of respiratory infections. We aimed to explore the associations between pre-pandemic levels of physical function and physical activity and the development of COVID-19-like symptoms in Swedish older adults. Methods We analyzed data from 904 individuals aged ≥ 68 years from the population-based Swedish National study on Aging and Care in Kungsholmen. COVID-19-like symptoms were assessed by phone interview (March–June 2020) and included fever, cough, sore throat and/or a cold, headache, pain in muscles, legs and joints, loss of taste and/or odor, breathing difficulties, chest pain, gastrointestinal symptoms, and eye inflammation. Muscle strength, mobility, and physical activity were examined in 2016–2018 by objective testing. Data were analyzed using logistic regression models in the total sample and stratifying by age. Results During the first outbreak of the pandemic, 325 (36%) individuals from our sample developed COVID-19-like symptoms. Those with slower performance in the chair stand test had an odds ratio (OR) of 1.5 (95% confidence interval [CI] 1.1–2.1) for presenting with COVID-19-like symptoms compared to better performers, after adjusting for potential confounders. The association was even higher among people aged ≥ 80 years (OR 2.6; 95% CI 1.5–4.7). No significant associations were found between walking speed or engagement in moderate-to-vigorous physical activity and the likelihood to develop COVID-19-like symptoms. Conclusion Poor muscle strength, a possible indicator of frailty, may predispose older adults to higher odds of developing COVID-19-like symptoms, especially among the oldest-old.


Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 443
Author(s):  
Ting-Fu Lai ◽  
Chien-Yu Lin ◽  
Chien-Chih Chou ◽  
Wan-Chi Huang ◽  
Ming-Chun Hsueh ◽  
...  

Studies have indicated that sufficient physical activity levels and balanced dietary behavior are independently related to physical function in older populations; however, their joint association with physical function remain unclear. This study examined the independent and combined associations of sufficient physical activity and balanced selection of foods with lower limb strength among 122 older Taiwanese adults living in community (mean age: 69.9 ± 5.0 years). The assessments included accelerometer-measured moderate-to-vigorous physical activity (MVPA) and self-reported selection of foods. Lower limb strength performance was measured using the five times sit-to-stand test. Binary logistic regression analyses were performed to estimate the associations in question before and after adjusting for potential confounders. The results showed that in the adjusted model, lower limb strength had no significant independent association with either meeting the recommended level of MVPA or balanced selection of foods. Compared to older adults who neither met the recommended MVPA level nor reported a balanced selection of foods, those who conformed to both these criteria were more likely to have better lower limb strength (odds ratio = 6.28, 95% confidence interval = 1.36–29.01) after adjusting for covariates. Health promotion initiatives addressing disability prevention for older adults need to consider promoting both MVPA and food selection.


Author(s):  
Ilona I. McMullan ◽  
Brendan P. Bunting ◽  
Nicole E. Blackburn ◽  
Jason J. Wilson ◽  
Manuela Deidda ◽  
...  

Improving the capacity for physical activity interventions to maintain behavior change is a key public health concern and an important strategy for the health and independence of older adults. Ways of ensuring effective maintenance of physical activity levels in older adults are unclear. This study includes the objective measure of moderate-to-vigorous physical activity (MVPA); self-reported self-efficacy; and self-regulation at four timepoints (baseline, intervention completion at 4 months, 12-, and 18-month follow-up) from the SITLESS study, a clinical trial conducted with a cohort of community-dwelling older adults (≥65 years) from Denmark, Germany, Spain, and the United Kingdom. A cross-lagged analysis found that self-regulation and self-efficacy may be key determinants of MVPA behavior in community-dwelling older adults. More specifically, the use of behavioral support strategies represents an important correlate of MVPA behavior, and its association with MVPA may be mediated by self-regulation and self-efficacy in older adults in the short and long term.


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